Epiphora as the primary initial presentation for a huge sino-nasal osteoma: A rare presentation

Nadia Yaacob, Adil Hussein

Abstract


Sino-nasal osteoma is a common benign tumour of paranasal sinuses and usually asymptomatic. Here, we presented a case of a huge sino-nasal osteoma. Despite the large size of the tumour, the only presentation was epiphora. There were no headache, facial pain or diplopia. Nasal obstruction only occurred after involvement of the nasal cavity. In diagnosing aetiology of the epiphora, sino-nasal pathology needed to be ruled out after excluding ocular causes. Multidisciplinary approach between otolaryngology (ORL) team and ophthalmology team was essential in managing the case. The tumour was successfully removed surgically via endoscopic approach; and dacryocystorhinostomy (DCR) was performed to alleviate the epiphora.


Keywords


Ophthalmology

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References


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